Provider Demographics
NPI:1891373791
Name:DARYA MCDANIEL CAPITAL EYECARE
Entity Type:Organization
Organization Name:DARYA MCDANIEL CAPITAL EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:551-221-1499
Mailing Address - Street 1:PO BOX 174
Mailing Address - Street 2:
Mailing Address - City:HIGHMORE
Mailing Address - State:SD
Mailing Address - Zip Code:57345-0174
Mailing Address - Country:US
Mailing Address - Phone:551-221-1499
Mailing Address - Fax:605-224-9861
Practice Address - Street 1:1730 N GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-5507
Practice Address - Country:US
Practice Address - Phone:605-224-9694
Practice Address - Fax:605-224-9861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty